传染病中微生物组疗法的展望:超越免疫学和微生物学的综合方法。
Perspectives on Microbiome Therapeutics in Infectious Diseases: A Comprehensive Approach Beyond Immunology and Microbiology.
作者信息
Seo Hoonhee, Kim Sukyung, Beck Samuel, Song Ho-Yeon
机构信息
Human Microbiome Medical Research Center (HM·MRC), School of Medicine, Soonchunhyang University, 22, Soonchunhyang-ro, Sinchang-myeon, Asan-si 31538, Chungnam-do, Republic of Korea.
Center for Aging Research, Department of Dermatology, Chobanian & Avedisian School of Medicine, Boston University, J-607, 609 Albany, Boston, MA 02118, USA.
出版信息
Cells. 2024 Dec 4;13(23):2003. doi: 10.3390/cells13232003.
Although global life expectancy has increased over the past 20 years due to advancements in managing infectious diseases, one-fifth of people still die from infections. In response to this ongoing threat, significant efforts are underway to develop vaccines and antimicrobial agents. However, pathogens evolve resistance mechanisms, complicating their control. The COVID-19 pandemic has underscored the limitations of focusing solely on the pathogen-killing strategies of immunology and microbiology to address complex, multisystemic infectious diseases. This highlights the urgent need for practical advancements, such as microbiome therapeutics, that address these limitations while complementing traditional approaches. Our review emphasizes key outcomes in the field, including evidence of probiotics reducing disease severity and insights into host-microbiome crosstalk that have informed novel therapeutic strategies. These findings underscore the potential of microbiome-based interventions to promote physiological function alongside existing strategies aimed at enhancing host immune responses and pathogen destruction. This narrative review explores microbiome therapeutics as next-generation treatments for infectious diseases, focusing on the application of probiotics and their role in host-microbiome interactions. While offering a novel perspective grounded in a cooperative defense system, this review also addresses the practical challenges and limitations in translating these advancements into clinical settings.
尽管由于传染病管理方面的进步,全球预期寿命在过去20年中有所提高,但仍有五分之一的人死于感染。为应对这一持续存在的威胁,人们正在大力研发疫苗和抗菌药物。然而,病原体进化出了耐药机制,使其控制变得复杂。新冠疫情凸显了仅专注于免疫学和微生物学的病原体杀灭策略来应对复杂的多系统传染病的局限性。这突出了迫切需要实际的进展,如微生物组疗法,以解决这些局限性,同时补充传统方法。我们的综述强调了该领域的关键成果,包括益生菌降低疾病严重程度的证据以及对宿主-微生物组相互作用的见解,这些见解为新的治疗策略提供了依据。这些发现强调了基于微生物组的干预措施与旨在增强宿主免疫反应和病原体破坏的现有策略一起促进生理功能的潜力。这篇叙述性综述探讨了微生物组疗法作为传染病的下一代治疗方法,重点关注益生菌的应用及其在宿主-微生物组相互作用中的作用。在提供基于合作防御系统的新视角的同时,本综述还讨论了将这些进展转化为临床环境中的实际挑战和局限性。